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Shadae Manor
NPI 1568349280 · on the registry since 2025 · sole proprietor
Practice
- Address
- 355 Clinton Ave Apt 8e
Brooklyn, NY 11238 - Phone
- (347) 993-7248
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York